Multilevel Determinants of Socioeconomic Disparities in Geographic Late-Stage Hepatocellular Carcinoma Hotspots

Multilevel Determinants of Socioeconomic Disparities in Geographic Late-Stage Hepatocellular Carcinoma Hotspots

This study evaluates barriers to early detection of liver cancer.

PRIMARY OBJECTIVES:

I. To identify individual-level social and clinical determinants of socioeconomic disparities in late stage Hepatocellular Carcinoma (HCC) burden with a prospective survey of patients with incident HCC. II. To qualitatively explore the multilevel barriers to completion of the early detection pathway for HCC in low socioeconomic status (SES) populations.

OUTLINE: This is an observational study.

Participants complete surveys, have their medical records reviewed, and may complete an interview on study.

Inclusion Criteria:

• * Adults (18+)

  • New diagnosis of HCC
  • Able to provide informed consent

Additional criteria:

• Must complete survey
• Residential address in a late stage hotspot
• Medicaid insurance or uninsured
• English, Spanish and Chinese speakers

Exclusion Criteria:

• * Residence outside of Los Angeles County

  • Non-HCC liver tumors
  • Incarcerated patients
  • Pregnant women